MADONNA R LUSTIG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077000

License Status

INACTIVE

Business

First Name

MADONNA R

Last Name

LUSTIG

Business Name

MADONNA R LUSTIG

Original Issue Date

11/04/1953

Effective Date

11/04/1953

Expiration Date

05/31/1998

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/27/2006